SCP ENT & Allergy Services, LLC
Revenue Cycle Manager (Finance)
Key Responsibilities:
- Lead and manage the revenue cycle team to ensure compliance with all federal, state, and payer-specific billing and coding requirements.
- Develop and implement policies and procedures that ensure prompt and accurate billing and collections.
- Oversee the patient registration, insurance verification, and billing processes to minimize errors and denials.
- Analyze revenue cycle data to identify trends, performance gaps, and opportunities for improvement.
- Collaborate with other departments to streamline workflows, enhance patient satisfaction, and maintain data integrity.
- Train and mentor revenue cycle staff on best practices and changes in billing regulations.
- Manage relationships with payers, including negotiating contracts and resolving disputes.
- Prepare regular reports and presentations on the status and outcomes of the revenue cycle for senior management.
Qualifications:
- Bachelors degree in Finance, Business Administration, Health Administration, or related field.
- Minimum of 5 years of experience in healthcare revenue cycle management, with at least 2 years in a managerial role.
- In-depth knowledge of medical billing software, coding, and reimbursement processes, including Medicare, Medicaid, and private insurers.
- Strong analytical and problem-solving skills.
- Excellent leadership and team management abilities.
- Proficiency in using healthcare information systems and electronic health records (EHR).
- Certified Professional Coder (CPC), Certified Revenue Cycle Representative (CRCR), or similar certification preferred.